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1316044282
ERICA AMBROZEVICIUS GOMEZ
FULLERTON, CA
NPI
1316044282
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Former Name
ERICA LOPEZ AMBROZEVICIUS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA17475)
Enumeration Date
2006-09-20
Last Update Date
2023-06-29
Business Address
ERICA AMBROZEVICIUS GOMEZ DMSC, MPAP, PA-C
2251 N HARBOR BLVD
FULLERTON, CA 92835-2601
Phone number: 714-449-6230
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Mailing Address
ERICA AMBROZEVICIUS GOMEZ DMSC, MPAP, PA-C
2100 SAN JOSE AVE
LA HABRA, CA 90631-5035
Phone number: 626-383-4264
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